Jakovljević D, Sivenius J, Sarti C, Torppa J, Mähönen M, Immonen-Räihä P, Kaarsalo E, Alhainen K, Tuomilehto J, Puska P, Salomaa V
KTL-National Public Health Institute, Department of Epidemiology and Health Promotion, Helsinki, Finland.
Cerebrovasc Dis. 2001;12(1):7-13. doi: 10.1159/000047674.
Low socioeconomic status (SES) is associated with increased mortality from stroke, but usually no distinction is made between stroke subtypes. We analyzed the relationship of SES with mortality and morbidity of subarachnoid hemorrhage (SAH). In the FINMONICA Stroke Register, 956 consecutive SAH events were recorded during 1983-1992 in patients aged 25-74 years. We used taxable income stratified into three categories, low, middle, and high, as an indicator of SES. The age-standardized incidence of SAH among men and women aged 25-44 years was approximately three times higher in the low-income group than in the high-income group. In older individuals, differences between the income groups were less pronounced. Among survivors of the acute stage, a poorer prognosis was observed in patients with low income than in those with high income. In conclusion, there is a clear excess mortality and morbidity of SAH in young individuals with low income, particularly among men.
社会经济地位低下（SES）与中风死亡率增加有关，但通常未对中风亚型进行区分。我们分析了SES与蛛网膜下腔出血（SAH）死亡率和发病率之间的关系。在芬兰MONICA中风登记处，1983年至1992年期间记录了956例年龄在25至74岁之间的连续SAH事件。我们将应纳税所得额分为低、中、高三个类别，以此作为SES的指标。25至44岁男性和女性中，低收入组SAH的年龄标准化发病率比高收入组高出约三倍。在老年人中，收入组之间的差异不太明显。在急性期幸存者中，低收入患者的预后比高收入患者差。总之，低收入的年轻人，尤其是男性，SAH的死亡率和发病率明显过高。
